ATI LPN
ATI PN Maternal Newborn 2023 Exam 3 Questions
Extract:
A nurse is caring for a 26-year-old primigravida female client who is at 28 weeks of gestation in the maternity ward. The client is obese and has no history of hypertension or diabetes mellitus. Exhibits: History and Physical, Medical History, Vital Signs, Physical Examination Results, Nurse's Notes, Provider's Prescriptions, Diagnostic Results
Question 1 of 5
Complete the following sentence by using the list of options. The nurse should first address the client's ___, followed by the client's ___.
Correct Answer: A,B
Rationale: High BP (160/100 mmHg) is urgent in preeclampsia; headache follows as a symptom to manage.
Extract:
A nurse is assisting with the care of a client who is in labor and has an epidural infusion for pain management. The client's blood pressure is 80/40 mm Hg.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A bolus of lactated Ringer's increases blood volume, correcting hypotension from epidural anesthesia.
Extract:
A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy.
Question 3 of 5
For which of the following adverse effects should the nurse monitor and report to the provider?
Correct Answer: C
Rationale: Hyporeflexia indicates magnesium toxicity, a serious adverse effect requiring immediate reporting.
Extract:
A nurse is checking the reflexes of a newborn.
Question 4 of 5
Which of the following actions should the nurse use to elicit the Babinski reflex?
Correct Answer: B
Rationale: Stroking upward on the lateral aspect of the sole elicits the Babinski reflex, causing the big toe to extend and toes to fan out, a normal newborn response.
Extract:
A nurse is reinforcing teaching about travel with a client who is pregnant.
Question 5 of 5
Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Walking hourly during trips improves circulation, reducing clot risk during pregnancy.